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The skin is the largest organ in the body and is one of the five sense organs, helping us with ‘touch.’ The first outer layer is called the epidermis and the underlying layer is called the dermis. The skin has a protein known as keratin, which protects it from various external toxins and infections.
In some people, due to unknown reasons, there could be pile up of this protein in the deeper layers, producing small bumps, which feel like sandpaper. Literally, the term keratosis pilaris (KP) refers to piling up of keratin pigment. It can block the hair follicle that would normally open into the skin. When there are multiple blocks in the same area, there could be a sandpaper-like rough feeling to the touch. This gives this condition other names including goosebumps, chicken skin or chicken bumps. Though it is a cosmetic issue, it is medically a benign and very common condition.
KP, as it is popularly known as, is believed to be a genetic disorder with faulty genes leading to excessive accumulation of keratin. These appear as red, small bumps that are usually seen on the hands, arms, thighs, buttocks, and rarely on the face. The surrounding skin may be inflamed if there is a buildup of skin under the pile of keratin.
The onset of KP is usually in the first decade of life, worsens during puberty, and reduces during adulthood. There are, however, instances where the onset happens during adulthood. Twins and people with atopic dermatitis are more likely to have KP.
KP is more common in people with dry skin as oily skin seems to offer some protection.
There are also studies that give it a correlation with weather, with winter seeing more of this condition than summer. This is because our skin tends to dry more in winter than in summer. There could be some people who are completely normal during the summer months but will develop these bumps during the winter, which again subsides with the season.
Signs and Symptoms
As noted above, KP is a medically benign condition. There is a cosmetic concern if it is in the visible areas like arms and hands. Also, the area could feel rough and dry, but the affected person may not experience any itching or other harm. People with atopic dermatitis and eczema are more likely to develop KP; hence these other skin conditions require proper management.
Patient education is the most important. This disease does not require any treatment and is usually self-limiting. It is very rare for KP to affect the whole body. Creams containing alpha hydroxy acid, salicylic acid, lactic acid, or vitamin A may be required to remove dead skin cells and to prevent clogged follicles from the bodies of the affected people.
Hey please reply me as soon as possible. I want to ask about my skin. My skin color getting darker day by day. I am running in age of 17.In previous year my skin color brighter but in previous some months I am getting a darker tone. Please help me give me best solution.
How to get rid of tan on my face it look so dull and reddish after day long on exposure to sunlight even for an hour. Please suggest me some home remedies for fair bright skin without any spots or breakouts due to sunlight.
Hi gud morning. I have a problem my face is so black. But I don't like that. Please could you help me. I want to become white face. You say some tips and face cream I am waiting for your answer.
For e. G.I have black spots as well as pimples on my back. I used scar removal cream for 4 months but didn't see any changes. What should I do?
Sir, please I need your help. I dont have any inner glow in my facial skin. I dont have any marks and pimples at present. Before 1.5 years my skin was acne prone skin. Now its winter so again my skin becomes dry but oily in nose and forehead. My skin is very sensitive. So kindly suggest me to help my facial skin glow as glow has disappear from my face. I am male and I am 31 years old. Thank you.
I'm a boy of 16 years, usually my skin is white. I'm having pimples and dark spots on my face. How to get rid of that? And make my skin white.
I have an oily skin type. I find more and more of blackheads on my nose lately. I have tried many remedies but nothing worked. How do I get rid of it?
If I apply mixture of aloe vera and onion juice on my scars will it permanently disappear and do it have Any side effects?
Breast examination is a way of detecting early changes that help in detecting lumps or other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.
- Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
- Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
- Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage.
- Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
- Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same.